Provider Demographics
NPI:1598102170
Name:GRIMMETT, HOPE GABLE (RN)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:GABLE
Last Name:GRIMMETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1872 S GRIMBALL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8013
Mailing Address - Country:US
Mailing Address - Phone:843-762-8249
Mailing Address - Fax:
Practice Address - Street 1:1872 S GRIMBALL RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-8013
Practice Address - Country:US
Practice Address - Phone:843-762-8249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC93127163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool